Attachment 3 - HIRADC Worksheet

Assessment of Environmental Impact Risk Assessment Mitigation Plan

Rutin (Normal) / Non Rutin

Important (I)/ Not Important (NI)

(Abnormal) / Emergency

Hazards Clasification

Probability of Env Impact

Duration of Env Impact

Severity of Env Impact
Scale of Env Impact

Operational Control

Public Image

Level of Risk
Regulations

Probability
Impact / Risk (Environmental
Activity / Facility Potential Hazards (Environmental/Plant) Existing Control Risk Control Monitoring & Review ***

Impact
Total
/ Equipments / Human)
Related Regulation No* Recommendation PIC Time Status**

General activities
1 Personnel road transportasi at Jambi and Routine Road Accident F Personal Injury 1. PPE available to all crew 4 D H -Ensure driver shall have valid govermment driving lesenci
Tanjung jabung timur 2. JSA available - Make sure the valid vehicle registrstion
3. PTW - Joint Inspection for operational vehicle
2 Mobilization/demobilization of equipment Routine Road Accident F Personal Injury 4 D H
and materials - Escort to be assigned for material trailer
-Ensure truck or trailer have valid license
-Ensure truck or trailer driver have valid driving license
1. PPE available to all crew in trailler
- Transporter perform route survey prior delivery
1. PPE
-Ensure the horn & reversing alarm are working properly
2. JSA avaible
- Provide suitable hard poles/guards to prevent roll off
3. PTW
F Equipment damage 3 E M -All drivers shall follow Government and COMPANY driving regulation
- Provide suitable secure/fastening of material such as ratchets,chains and boxes for loose material
-Transporter perform route survey prior delivery

3 Manual Handling Routine Pinched F Personal Injury 2 E M

-Pinch bar to be used to prevent pinch injury
1. PPE -Good Coordination and communication if lifted more than 1 person
2. JSA avaible -Max. Weight for material handling by one person is 25 kg
Back Pain injury F Personal Injury 2 C L
3. PTW -Correct ergonomic technique
-Safe manual handling practice to be socialized by Supervisor and Safety

Fabrication activities
4 Cutting by cutting torch Routine Fire explosion F Personal Injury 1. PPE 3 C H
2. JSA available - Make sure flashback aresstor is installed properly
3. PTW -Ensure regulator does not leak
4. Inspection equipment prior to activity -Standard & proper tools to be used (No home made tools)
-Ensure workplace have proper ventilation
Fumes F Personal Injury 1. PPE 1 E L -prepare a suitable mask for workers.
-The position of the tube should be in a standing
2. PTW

5 Grinding activities Routine Electrocuted F Personal Injury 1. PPE 3 C E

2. PTW
3. JSA available
Disc brake F Personal Injury 1. PPE 3 C H -Check Grinding machine before working
2. PTW - Make sure grinding machine is not wet
-Make sure power cable grinding machine is not open
Flying object F Personal Injury 1. PPE 3 C H -Make sure workers wear ear plug
2. PTW -Ensure the grinding disc suitable to grinding machine
-Make sure disc protector is instaled

Noise F Personal Injury 1. PPE 1 A M

2. PTW

6 Welding activities Routine Electrocution F Personal Injury 2 E E

flaying object (sparking) F Personal Injury 3 C H

1. Qualified and certified of welders -Good cable grounding, insulation an conection
2. Personal shall use spesific PPE for welding activity -Standard cable connector to be used for welding rod quiver
3. Welding machines to be earthed and provided -Inspection to be done regularty by qualifed personel
Fire F Personal Injury 3 C E
4. PPE -Ensure welder use welding cap
5. JSA -Stand by fire extinguisher
-Proper masker shall be worn by welder
Fumes F Personal Injury 1 B M - Provide proper bin for material disposal and ensure waste

arc strike welding F Personal Injury 2 C M

7 Radiograhy Testing Routine Radiation exposure F Personal Injury 1. PPE 3 D M

-Make sure sertificat personel
2. JSA available -Proper temporary hazard waste storage
3. NDT Procedure -Provide worker wear coverall
4. PTW - Luquid waste storage to be provide
Chemical Hazard F Personal Injury 1. PPE 2 D M -Provide Barricade on at RT area
2. PTW - Provide chemical gloves for worker
-Ensure Proper House keeping at welding area

8 Dye Penetrant Testing (DPT) Routine Chemical Contamination E Personal Injury 1. PPE 2 D L
- Make sure experienced workers
2. PTW
- Ensure workers wear mask
3. NDT Procedure - Make sure workers wear coverall
Dust Spray F Personal Injury 1. PPE 2 D M - Luquid waste storage to be provide
2. PTW - Only experienced personnel do this job
3. JSA available
9 Hydrotesting Routine Pressure F 1. Personal Injury 4 E E -Make sure experienced workers
2. Property Damage - Toolbox talk to be conducted prior to start activity
-Barricade and warning sign to be installed
burst/stroke by object F 1. Personal Injury 4 E E - Ensure the flange connection are tighten properly
2. Property Damage -Depresurization after test shall be done gradually
1. PPE
-Good housekeeping in the area and remove all obstructed material/equipment from work area
2. JSA available
- Check condition of hose & connection before used and ensure suitable to installed
3. PTW
-Max. Pressure shall be identified and shall not exceed from the pressure requirement.
4. Hydro Test Procedure
-Use pressurize equipment complete with valid calibration certificate
- Hose rating shall be greater than test pressure
- Only authorized person on hydro test area
-Depresurized line system before any leaking repairing
- Pressure shall be increased gradually

10 Sand blasting Routine Dust F Personal Injury 1 2 1 1 1 1 1 8 NI 2 C M

Noise F Personal Injury 1 E L - Make sure experienced workers

-wear proper PPE including respirator masker
-warning sign shall be installed
Pressure F Personal Injury 1. PPE 3 E M - Keep safe distance between two blaster during perform activity
2. PTW - House keeping to be performed after blasting activity on the top side
3. JSA available -Install anti whip system on hose connector
4. Competent Personel -Ear plug shall be used for blasting activity
Slippery F Personal Injury 2 C M -Sand blasting equipment to be inspected prior start & in periodically basis
-Air filter pot cartridge to be checked and replaced regularly
-area of blasting to be covered with trapaulins dust screen(open area)
Flying object F Personal Injury 2 C M

11 Spray painting and touch up painting Routine Pressure F Personal Injury 4 E H

-Make sure experienced workers

Fumes F Personal Injury 1 E L -Make sure worker wear recommended mask
1. PPE - Smoking is prohibited in the work area
2. PTW - Use proper cartridge masker
3. JSA available - proper housekeeping to be implemented
Skin and eye Iritation F Personal Injury 4. Competent Personel 3 D M -Use proper cartridge masker
- Install anti whip system on hose connector
- Check equipment before used and Make sure all equipment in Good condition
Spil and over spray F Personal Injury 3 D M -Fire extinguisher to be available

Lifting Actifities
12 Lifting activities Routine Damaged Sling ang rigging items F 1. Personal Injury 1. Available PPE 4 D H
2. Equipment Damage 2. Lifting Equipment Inspection

Swinging Load F 1. Personal Injury 1. Availability of signalman for lifting work 4 D H

-Ensure all lifting equipment get visual inspection and good condition
Falling Object F 1. Personal Injury 1. Crane Load Chart 4 D H -Ensure crane operator and rigger crew in good condition
2. Equipment Damage 2. HSSE Plan -Safe Load Indicator and capacity chart to be available
3. Lifting Plan - The load capacity limits shall be marked on all rigging components
4. Crane sefty Devise (safe load indicator, A2B,Limit Swicth) - Ensure Pre-job meeting Conducted before execute job
- Proper heavy duty hand glove
-Clear landing area for any lifting from barge to deck
- Taglines to be used as required
12 Lifting activities Routine

Assessment of Environmental Impact Risk Assessment Mitigation Plan

Rutin (Normal) / Non Rutin

Important (I)/ Not Important (NI)

(Abnormal) / Emergency

Hazards Clasification

Probability of Env Impact

Duration of Env Impact

Severity of Env Impact
Scale of Env Impact

Operational Control

Public Image

Level of Risk
Regulations

Probability
Impact / Risk (Environmental
Activity / Facility Potential Hazards (Environmental/Plant) Existing Control Risk Control Monitoring & Review ***

Impact
Total
/ Equipments / Human)
Related Regulation No* Recommendation
-Ensure all lifting equipment get visual inspection and good condition PIC Time Status**
Falling Object F 1. Personal Injury 1. Crane Load Chart
-Ensure crane operator and rigger crew in good condition
2. Equipment Damage 2. HSSE Plan -Safe Load Indicator and capacity chart to be available
3. Lifting Plan - The load capacity limits shall be marked on all rigging components
4. Crane sefty Devise (safe load indicator, A2B,Limit Swicth) - Ensure Pre-job meeting Conducted before execute job
- Proper heavy duty hand glove
-Clear landing area for any lifting from barge to deck
- Taglines to be used as required
Crane Collapse F 1. Personal Injury 1. Available JSA 4 D H
2. Equipment Damage 2. PTW
3. Inspection equipment prior to activity
Failure of lifting Gear F 1. Personal Injury 1. Available JSA 4 D H
2. Equipment Damage 2. PTW
3. Inspection equipment prior to activity
F 1. Equipment Damage 1 E L
bad house keepings 1.Housekeeping

MARINE ACTIVITIES
1 Embarking and Disembarking Personnel Routine Uncontrolled/unauthorized POB F Security Threat 1. POB scrining on asam pipih security post 1 E L
at Jetty 2. Ensure make list POB

#NAME?
Man Over Board F Personal Injury 1. Available PPE 3 D M
2. HSE Induction for first incomer at FPU

2 Crew boat/material barge alongside Routine Approach to alongside during bad weather F Collision between material barge/crew barge 3 C H
Crane barge

lost control by tug boat of material barge doe
to no thruster & etc.
Tension while securing mooring lines
material barge/crew barge drifted by current
Miscommunication & human error
F Collision between material barge/crew barge
F Hit and damage anchor wires
F Collision between material barge/crew barge
F Personal Injury
3 C H
- Obtain accurate weather forecast
3 C H - Do not bring longside material barge/crew boatduring bad wheather
1. propere planning (basic seaman ship) &safe work practice
- Check material barge properly secured
2. Weather forecast
-Perform trial drift test
3. Plainned maintence system (PMS) of the vessel
-Regular inspection for mooring ropes (polypropyline)
4. Inspection equipment prior to activity 3 C H -establish proper & good communication among relevant parties
5. Equipment handling storage and trasportain prosedur
- Competent captain, barge formean, deck crew
-Good Supervisory ang competent assigned for the job
3 C H

Moring rope undertension F Collision between material barge/crew barge 3 C H

3 Lifting activities for material transfer Drop object F 1. Fatality/personnel injuries 4 D H

2. Poperty Damage

Craine Failure F 1. Personal Injury 4 C H

2. Property Damage 1. Lifting procedure -To Clear landing area (free space) for lifting and bariicade the area
3. Pollution 2. Competent Personnel -Load test and cerification
Rigging Failure F 1. Personal Injury 3. Lifting plan 4 C H -regular inspection and maintenenace
2. Property Damage 4. Valid Rigging certificate - No Lifting During bad weathers
5. valid Crane Certificate -Good Communication
6. Suitable PPE -correct rigging methods
Uncontrol load movement F 1. Personal Injury 7. Available JSA 4 D H -Provide Taglines
2. Property Damage 8. PTW -Competent crane operator and rigging team

Miscomunnication/human error F 1. Personal Injury 4 C H

2. Property Damage

4 Personal transfer via personal basket Incorrect hooking up of basket F 1. Personnal injury 4 D H

Failure of lifting equipments F 1. Personnal injury/down/Fatality -Tested/certified lifting gears (valid colour coding) and man riding crane
4 D H
2. Man over board -prelift inspection and briefing by PIC
1, certified personal basket equipment -Basket provided with tag line of adequate length
2. Equipment inspected and serviced as per manufactures -sufficient lighting during transfer at night
excessive and swingging loads F 1. Personnal injury gudelines 4 D H -Stop operation in bad wheather
2. Man over board 3. personnal transfer and mooring procedure -good communnication, competent, certified personnel
4. Suitable PPE -steady station keeping of both vessel/barge
Fouled rigging F 1. Personnal injury 5. Available JSA 4 D H -experienced personnel to transfer to crew boat to take change of operations
2. Man over board 6. PTW -Unfamiliar personnel to be briefed on the personal basket
-Only lifting if approved by PIC
-wear life jacket/work vest
Weather Conditons F 1. Personnal injury 4 D H
2. Man over board

5 Personal transfer via Boat landing Personnal transfer during boat rolling (rough F 1. Personnal injury 5 D E
sea)

Slip, trip and fall F 1. Personnal injury/down/Fatality 5 D E

2. Man over board

hand slip and manover board
pinched by boat fenders
Slippery ladder and swing rope
F 1. Personnal injury 4 D H -No perssonel transfer during rough sea
2. Man over board -Be vigiliant and jump in correct time with conffident
1. personnal transfer and mooring procedure
-make sure hands are free and grip tighly on swing rope
2. Suitable PPE
-Make sure rope are free from Greese
F 1. Personnal injury 3. Available JSA 5 D E -life ring Standby
2. Man over board 4. PTW
-Adequate lighting system and hazard marking
-Be alert and asssign dedicated person to monitor transfer
F 1. Personnal injury 5 D E
2. Man over board

Insufficient lightin system F 1. Personnal injury 4 D H

2. Man over board

6 sea fastening and trasportation Personnel Injury F 1. Personnal injury

equipment by tug Boat 2. Property damaged 3 D M
1. Lifting procedure -Traine personnel shall be engnged in this actifity
Man Over Board F 1. Personnal injury 2. HSE Induction for first incomer at FPU -Don't jump from pipe to pipe / pipe to deck of the barge
2. Property damaged 3. Dont' jump from pipe ti pipe / pir to deck of the barge -Good radio comunication and GPS for emergency reason and rescure
4. Good radio communication and GPD for emerceny reason and -Privide stopper on stcked pipe
rescue 3 D M -All crew barge ab d tug boat use live est durig activity

7 Preparation for anchor job Lifting hazard F 1. Personal Injury

2. Equipment damage 3 C H

Slip and fall down F Personal Injury

4 D H
1. Anchor handling Procedure
2. Regular inspection on all lifting equipment by Contractor &
pinch during wire spoiling work F Personal Injury company HSE inspector -Ensure all liffting equipment get visual inspection and good condition
3 C H
3. Lifting equipment update Color coding system - Ensure personnel in fit condition while perform the job
poor visibility F Personal Injury 4. tagliness - Work performed by comptent person
5. lifting procedure 3 C H - Good Housekeeping
6. HSE plan - Sufficent lighting when working at night
7. JSA
miss communication F 1. Personal Injury
8. HSE plan
2. Equipment damage 5 B E

Damage Sling, webbing.shackle F 1. Personal Injury

2. Equipment damage 4 C E

8 Transfer bouy and Pennat Wire Routine Lifting Hazard F 1. Personal Injury 1. Anchor handling Procedure
2. Equipment damage 2. Regular inspection on all lifting equipment by Contractor & 3 C H
company HSE inspector
3. Lifting equipment update Color coding system
Slip and fall down F 1. Personal Injury
4. tagliness 4 D H
5. lifting procedure
Falling object F 1. Personal Injury 6. HSE plan
2. Equipment damage 7. JSA 3 C H
8. HSE plan
- Ensure all lifting equipment get visual inspection and good condition
pinch during wire spooling work F 1. Personal Injury - Ensure personnal in fit condition while perform the job
3 C H - Work performed by competent person
- Good House keeping
poor visibility F 1. Personal Injury - Sufficient lighting when working at night
3 C H

Misscomunication F 1. Personal Injury

2. Equipment damage 5 B E
 company HSE inspector
3. Lifting equipment update Color coding system
4. tagliness
5. lifting procedure Assessment of Environmental Impact Risk Assessment Mitigation Plan
6. HSE plan

Rutin (Normal) / Non Rutin

Important (I)/ Not Important (NI)

(Abnormal) / Emergency
7. JSA

Hazards Clasification

Probability of Env Impact

Duration of Env Impact

8. HSE plan

Severity of Env Impact

- Ensure all lifting equipment get visual inspection and good condition

Scale of Env Impact

Operational Control
- Ensure personnal in fit condition while perform the job

Public Image

Level of Risk
Regulations

Probability
Impact / Risk (Environmental - Work performed by competent person
Activity / Facility Potential Hazards (Environmental/Plant) Existing Control Risk Control Monitoring & Review ***

Impact
Total
/ Equipments / Human) - Good House keeping
Related Regulation No* Recommendation PIC Time Status**
- Sufficient lighting when working at night

Misscomunication F 1. Personal Injury

2. Equipment damage 5 B E

Damage Sling, webbing.shackle F 1. Personal Injury

2. Equipment damage 4 C E

9 Lifting and trasferring the ancor to Routine Swinging Load F Personal Injury - Crane load Chart
AHT/tug boat - anchor handling procedure 3 C H
- lifting procedure
-crane operator shall be trained, competent and certified by MIGAS and approved by Petrochinax
failure of rigging equipment F 1. Personal Injury -Competent and certified personnel to be dedicated for the job
2. Equipment damage 4 D H -Tag lines to be attached to the load to control the swing
-Clear the lift path before commencing loading/unloading
Slip, trip and fall F Personal Injury -only authorized personnel to be deployed in the activity
4 D H -Only certified rigging equipment with color code to be used
-Do not exceed SWL of crane and rigging equipment
-Only one certified signalman should give signal to cran operator
hit by sling or ropes F Personal Injury
3 D H

10 Running and Drop anchor at the position Routine Anchor Wire parted F 1. Personal Injury - Crane load Chart
- anchor handling procedure 3 D M
- lifting procedure
- tide table
Man Over Board F 1. Personal Injury -personnels not allowed to enter into the anchor transfers area
3 D M -ensure work performed by competent person
-follow procedure and work permit
-wether fore cast monitoringClose cummunication
crew hit by sling/anchor F 1. Personal Injury -anchor patern and position to be pre-determined
2 D L -updated survey map to be rpovided by company
-inspect survey system prior job commencement
anchor drop on the existing subsea asset F 1. Property damage
K 2. Pollution 2 D L

Installation
1 Working at height and above water Routine Fall F 1. Personal Injury 1. PTW
2. JSA 3 C H
3. PPE -Toolbox talk to be conducted prior to start activity
-PTW to be applied
Dropped object F 1. Personal Injury -Proper PPE (safety helmet, clear safety glasses, long sleeve, safety shoes & full body harness with double
3 C H lanyard) to be worn
-Stand by life buoy
Man Over Board F 1. Personal Injury -Fall protection equipment to be inspected prior to use
-Use work vest & harness when working above water (outside platform/deck)
5 D H

2 Install & Dismatle Scaffolding Routine Collapse F 1. Personnal injury 1. PTW -Proper PPE (safety helmet, clear safety glasses, long sleeve & safety shoes) to be worn
2. Damage Property 2. JSA 3 C H -Toolbox talk to be conducted prior to start activity
3. PPE -PTW to be applied
4. Personal Competent
Dropped object F 1. Personnal injury -Certified and competent scaffolder
2. Property damaged 4 C M -Area to be cleared of non-essential personnel and barricaded

3 Bolting and unbolting by manual Routine Pinch point F 1. Personal Injury 1. Bolting Prosedure
2. PTW 2 C M
3. JSA
4. Ensure workers wear coverall
Struck by hammer F 1. Personal Injury -Standard & proper tools to be used (No home made tools)
2 C M -Use proper PPE
-Personnel to maintain safe distance between each personnel before swinging hammer.
Hand tools failure F 1. Personal Injury -Using of hand gloves & PPE is mandatory
2 C M

Spark due hitting metal F 1. Personal Injury

1 C M

4 Working at Night Routine Less visibility, glare F 1. Personal Injury 1. PTW

2. JSA 2 E L
-Clear safety glasses to be provided
Lack of Rest F 1. Personal Injury -Normal light commissioning shall be done before sailway
-Clean work area if any slippery or oily condition
3 B H
-Good house keeping
-Safety sign board posted
Slip,trip,and fall F 1. Personal Injury -Proper PPE requirement
3 C H

Akibat Penjelasan 1. Skala Dampak 7. Pandangan Masyarakat Klasifikasi Bahaya * No ini mengacu pada kolom identifikasi bahaya hal 1 Mengetahui tim penilai : Disetujui kepala area : Disahkan wakil manajemen :
Peluang
1 2 3 4 5 R= Rutin, NR = Non Rutin 2. Beratnya Dampak Penting K = Kimia ** Tentukan apakah tindakan sudah dilakukan, in progress
A H H E E E E= Extreme Risk A= Hampir pasti terjadi/almost certain 1= tidak ada cedera, kerugian materil kecil 3. Kemunginan terjadi Tidak Penting F = Fisika atau tindakan dilakukan
B M H H E E H= High Risk B= Cenderung untuk terjadi/likeiy 2= cedera ringan/P3K, kerugian materi sedang 4.Lamanya Dampak B = Biologi *** Review apakah tindakan pengendalian risiko :
C L M H E E M= Moderate Risk C= Mungkin dapat terjadi 3= hilang hari kerja, kerugian cukup besar 5. Pengen. Operasional E = Ergonomi - Efektif dalam meminimalkan risiko ?
D L L M H E L= Low Risk D= Kecil kemungkinan terjadi/unlikely 4= cacat, kerugian materi besar 6. Peraturan Perundangan - Menimbulkan bahaya baru ?
E L L M H H E= Jarang terjadi/rate 5= kematian, kerugian materi sangat besar Tentukan juga tindakan monitoring yang perlu :